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Features and Benefits

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Save significant FWA expenses

Optum® helps you save significant expense by:

  • Identifying overpayments resulting from error, waste, fraud and abuse
  • Developing cases with high recovery potential
  • Negotiating and recovering payments
  • Eliminating the need for software installation and maintenance
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Select the features that best meet your needs

Optum Retrospective Fraud, Waste and Abuse Services components are structured in a way that allows your organization to select the features that most effectively serve your needs, whether that is an augmentation of your internal efforts or a full outsourcing solution.

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Improve FWA with proven expertise

Our knowledge library includes more than 1,200 standard data algorithms, encompassing nine million industry rule combinations, regulations and medical policy standards. We also offer extensive clinical knowledge from more than 800 anti-fraud professionals.

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